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What to do if MRI results show parotid gland swelling?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My father is planning to undergo surgery for the parotid gland swelling that occurred. We have undergone an MRI (magnetic resonance imaging) scan for this purpose. I am attaching the reports of the MRI scan.

  1. Could you please provide us with a brief explanation regarding the following details?
  2. Does the MRI scan show normal results, or are there any abnormalities identified?
  3. There is a mention of 'cervical branch in relation to the mass lesion is not visualized: suggestive of encasement.' Could you please explain the meaning and implications of this statement?

Please help.

Thank you.

Answered by Dr. Vinod Kumar Atreya

Education:

MBBS

Professional Bio:

Dr. Vinod Kumar Atreya is a skilled general surgeon with clinical expertise in gastrointestinal surgery, tumor excision, wound care, and emergency surgical procedures. He is known for his methodical approach, surgical precision, and commitment to patient recovery. Dr. Atreya provides comprehensive surgical care tailored to individual needs, ensuring safe outcomes and long-term health improvement.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq, and thank you for choosing us as your provider for health care.

I have reviewed the attached reports (attachment removed to protect the patient’s identity). The MRI (magnetic resonance imaging)reveals a benign tumor of the parotid gland on the left side.

According to the MRI findings, the cervical branch in relation to the mass lesion is not visualized, which is suggestive of encasement. The cervical nerve is a branch of the facial nerve that passes through the parotid gland. The MRI indicates that the mass lesion, specifically Wharthin's tumor, has involved this branch.

I hope your query got resolved.

Please feel free to reach out to me again in case of further queries.

Thank you.

Treatment plan

The treatment plan involves surgery.

Patient's Query

Hello doctor,

Thank you for the reply.

Does this mean that the removal of this tumor through surgery would also impact the branch of the facial nerve?

Or is it possible to preserve this branch?

Thank you.

Answered by Dr. Vinod Kumar Atreya

Education:

MBBS

Professional Bio:

Dr. Vinod Kumar Atreya is a skilled general surgeon with clinical expertise in gastrointestinal surgery, tumor excision, wound care, and emergency surgical procedures. He is known for his methodical approach, surgical precision, and commitment to patient recovery. Dr. Atreya provides comprehensive surgical care tailored to individual needs, ensuring safe outcomes and long-term health improvement.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

With meticulous dissection during surgery, it is possible to preserve the branch.

Hope I have clarified your query.

Kindly revert in case of further queries.

Thank you.

Medically reviewed by iCliniq medical review team
Published At September 26, 2023
Reviewed At December 18, 2025

Education:

MBBS

Professional Bio:

Dr. Vinod Kumar Atreya is a skilled general surgeon with clinical expertise in gastrointestinal surgery, tumor excision, wound care, and emergency surgical procedures. He is known for his methodical approach, surgical precision, and commitment to patient recovery. Dr. Atreya provides comprehensive surgical care tailored to individual needs, ensuring safe outcomes and long-term health improvement.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Vinod Kumar Atreya is a skilled general surgeon with clinical expertise in gastrointestinal surgery, tumor excision, wound care, and emergency surgical procedures. He is known for his methodical approach, surgical precision, and commitment to patient recovery. Dr. Atreya provides comprehensive surgical care tailored to individual needs, ensuring safe outcomes and long-term health improvement.

This doctor is not available for online consultations on the platform anymore.

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